Organization Active NPI

Paa Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • New York, NY
National Provider Identifier
1457262669
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PAA MEDICAL SUPPLY INC
Practice address
85 Broad St Ste 18-108
New York, NY 10004-2434
Phone
(917) 207-7530
NPI assigned
Sep 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paata Abuladze
Title
Owner & Ceo
Phone
(917) 207-7530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

85 Broad St Ste 18-108
New York, NY 10004-2434

Mailing address

85 Broad St Ste 18-108
New York, NY 10004-2434
Phone (917) 207-7530

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1457262669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 BROAD ST STE 18-108",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042434",
            "telephone_number": "917-207-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BROAD ST STE 18-108",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042434",
            "telephone_number": "917-207-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAA MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "ABULADZE",
        "authorized_official_first_name": "PAATA",
        "authorized_official_title_or_position": "OWNER & CEO",
        "authorized_official_telephone_number": "917-207-7530"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.